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长春市急性心力衰竭患者药物治疗现状及分析

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目的 了解长春市急性心力衰竭患者的药物治疗现状,为临床医生提供参考依据。方法 选取 2017 年 3 月—2023 年 3 月于长春市多家医院就诊的急性心力衰竭患者 1 021例,收集患者个人信息、药物使用情况及治疗结果,分析长春市急性心力衰竭患者的用药现状。结果 利尿剂、静脉血管扩张药、血管紧张素转换酶抑制剂(angiotensin converting enzyme inhibitor,ACEI)/血管紧张素受体阻滞剂(angiotensin receptor blocker,ARB)是长春市急性心力衰竭患者的主要药物,其中静脉血管扩张药使用率最高,为 92。95%,利尿剂的使用率亦较高,为 89。91%;其次是ACEI/ARB,使用率为 75。91%,还有部分患者使用了正性肌力药物和β受体阻滞剂,使用率分别为37。90%和11。95%。此外,患者还存在多种药物不良反应,如低血压、电解质紊乱、心律失常、胃肠道反应等。治疗后部分患者出现了因心功能不全再入院、发生恶性心律失常及心源性死亡的情况。结论 加强医生对急性心力衰竭患者药物治疗的规范化培训,提高医生对药物不良反应的认识和处理能力;同时,加强患者教育,提高患者的自我管理能力,减少药物不良反应的发生。
Current Status and Analysis of Drug Treatment for Acute Heart Failure Patients in Changchun City
Objective To understand the drug treatment status of patients with acute heart failure in Changchun,and provide reference for clinicians.Methods A total of 1 021 patients with acute heart failure in Changchun multiple hospitals were selected from March 2017 to March 2023,their personal information,drug usage and treatment results were collected,and the current situation of medication in Changchun was analyzed.Results Diuretics,intravenous vasodilators,and angiotensin converting enzyme inhibitor(ACEI)/angiotensin receptor blocker(ARB)were the main drugs for patients with acute heart failure in Changchun.The utilization rate of venous vasodilators was the highest,reaching 92.95%,and the utilization rate of diuretics was also relatively high,reaching 89.91%;followed by ACEI/ARB at 75.91%,and some patients using inotropic drugs and β blockers at 37.90%and 11.95%respectively.In addition,patients also have a variety of adverse drug reactions,such as hypotension,electrolyte disturbance,arrhythmia,gastrointestinal reactions.After treatment,some patients had readmission due to cardiac insufficiency,malignant arrhythmia and cardiac death.Conclusion Strengthen the standardized training of doctors on drug treatment for patients with acute heart failure,and improve doctors'understanding and ability to deal with adverse drug reactions,meanwhile,strengthen patient education to improve their self-management ability and reduce the occurrence of adverse drug reactions.

acute heart failuredrug treatmentadverse reactioncurrent treatment statuscurrent situation analysischangchun city

张冬青、唐文娟

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吉林省一汽总医院老年病科,吉林长春 130011

急性心力衰竭 药物治疗 不良反应 治疗现状 现状分析 长春市

吉林省卫生计生科技创新项目

2016ZC030

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(10)
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